Efficacy of Alternative Cardiac Rehabilitation Delivery Formats in Improving Psychological Symptoms after Coronary Artery Bypass Grafting

Background: Health-care systems always strive for alternative cardiac rehabilitation (CR) models to ensure that options available to patients better fit their needs, risk factor profiles, and preferences. We assessed the effects of hospital-based cardiac rehabilitation (HBCR) and hybrid cardiac rehabilitation (HCR) on psychological symptoms (i.e., anxiety, depression, and stress) among patients following coronary artery bypass graft surgery (CABG). Methods: This cross-sectional study recruited 115 CABG patients who were referred to the Department of Cardiac Rehabilitation at Imam Ali Hospital in the Iranian city of Kermanshah between January and May 2016. The patients were assigned to 1 of the 2 programs of HBCR (26 sessions) and HCR (10 sessions). The study population’s psychological symptoms were assessed using the Depression, Anxiety, and Stress Scale (DASS) before and after the intervention, and the data were analyzed using paired t-tests and ANCOVA. Results: A total of 105 (91%) patients concluded the CR program. Respectively, 50.8% and 26.2% of the participants in the HBCR and HCR programs were female. The mean age was 59.6±9.2 years in the HBCR group and 58.7±6.1 years in the HCR group. The ANCOVA results indicated that both HBCR and HCR programs were equally effective in reducing anxiety (P=0.001 vs. P=0.015) and stress (P=0.002 vs. P=0.003) among the CABG patients, while only HBCR was effective in alleviating depressive symptoms (P=0.001). Conclusion: Our results demonstrated the efficacy of HBCR and HCR in diminishing stress and anxiety levels among the CABG patients. However, depression was affected only by HBCR.

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Pre-operative anxiety in patients undergoing coronary artery bypass graft surgery – A cross-sectional study

International Journal of Africa Nursing Sciences ◽

10.1016/j.ijans.2017.06.003 ◽

2017 ◽

Vol 7 ◽

pp. 31-36 ◽

Cited By ~ 7

Author(s):

C. Ramesh ◽

Baby S. Nayak ◽

Vasudev Baburaya Pai ◽

Anice George ◽

Linu Sara George ◽

...

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass Graft ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Bypass Graft ◽

Cross Sectional Study ◽

Artery Bypass Graft ◽

Sectional Study ◽

Cross Sectional

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A Study on Sexual Functioning in Patients Who Have Undergone Coronary Artery Bypass Grafting (CABG)

Journal of Psychosexual Health ◽

10.1177/2631831819862086 ◽

2019 ◽

Vol 1 (2) ◽

pp. 122-128 ◽

Cited By ~ 1

Author(s):

Ramya Shruthi D. ◽

Sunil Kumar S. ◽

Shyam Prasad Shetty ◽

Nagaraj Desai ◽

T. S. Sathyanarayana Rao

Keyword(s):

Coronary Artery ◽

Sexual Dysfunction ◽

Coronary Artery Bypass ◽

Sexual Functioning ◽

Artery Bypass ◽

Bypass Graft ◽

Cross Sectional Study ◽

Cross Sectional ◽

Artery Disease ◽

Student’S T

Introduction: Cardiovascular diseases (CVDs) are the leading causes of morbidity and mortality worldwide. Patients with coronary artery disease (CAD) have more than twofold risk of sexual dysfunction compared with age-matched healthy persons. Coronary artery bypass graft (CABG) surgery benefits in CAD populations are well established. Erectile dysfunction (ED) in men and arousal difficulties in women are highly prevalent in CAD, yet it is frequently under-recognized and under-diagnosed in clinical practice. A further study on the relation between CABG and sexual functioning is not much explored, hence the need for the study. Materials and Method: It is a cross-sectional study conducted in JSS Hospital, Mysuru, Karnataka. A total of 54 consecutive patients who have undergone CABG were considered. Informed and written consent was taken. After stabilization and thorough checkup by the attending cardiologist, interview was conducted. The patients were assessed on a structured and validated pro forma, for males International Index for Erectile Function (IIEF) and for females Female Sexual Function Index (FSFI) were used. ANOVA and Student’s t test, statistical software SAS 9.2, SPSS 15.0, Stata 10.1, MedCalc 9.0.1, Systat 12.0, and R environment ver.2.11.1 were used for statistical analysis. Results: Of the 54 study subjects, in males, 69.4% had mild to moderate ED, 52.8% had mild orgasmic dysfunction, 44.4% had moderate desire dysfunction, 50% had mild to moderate dysfunction of intercourse satisfaction, and 44.4% had mild to moderate and moderate dysfunction in overall satisfaction. In females, one or the other forms of sexual dysfunction were present in all the female study subjects; among them, 66.7% had arousal difficulties, 44.4% had lubrication, orgasm, and satisfaction problems and pain difficulties. Conclusion: The results obtained in this study showed an increased prevalence rate of sexual dysfunction in patients who have undergone CABG. Hence addressing the concerned issues during the stay in the hospital is necessary for the better outcomes.

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Lipoprotein(a) and lipid profiles of patients awaiting coronary artery bypass graft; a cross sectional study

BMC Cardiovascular Disorders ◽

10.1186/s12872-016-0393-1 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 1

Author(s):

E. M. S. Bandara ◽

S. Ekanayake ◽

C. A. Wanigatunge ◽

A. Kapuruge

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass Graft ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Bypass Graft ◽

Cross Sectional Study ◽

Lipid Profiles ◽

Artery Bypass Graft ◽

Sectional Study ◽

Cross Sectional

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Post-Operative Symptoms and Complications in Patients Having Undergone Coronary Artery Bypass Graft in Hamadan City in 2018: A Descriptive Cross-Sectional Study

Jundishapur Journal of Chronic Disease Care ◽

10.5812/jjcdc.104180 ◽

2020 ◽

Vol 9 (4) ◽

Author(s):

Khodayar Oshvandi ◽

Fatemeh Pakrad ◽

Ramesh Mohamadi Saleh ◽

Mohamad Ali Seif Rabiei ◽

Amir Shams

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass Graft ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Bypass Graft ◽

Cross Sectional Study ◽

Artery Bypass Graft ◽

Sectional Study ◽

Cross Sectional ◽

Cardiac Symptoms

Background: Coronary artery bypass grafting is one of the common treatments for cardiac diseases, despite the numerous complications of CABG. Objectives: This study was carried out to investigate post-operative complications and symptoms in patients undergoing coronary artery bypass graft. Methods: This descriptive cross-sectional study was conducted on 170 patients who were referred to Farshchian heart Center in Hamadan in 2018. The data were collected using a demographic questionnaire and a standard checklist for the assessment of cardiac symptoms. All patients completed the demographic information questionnaire, and patients' contact information was recorded. One month after the discharge, the cardiac symptom questionnaire was completed through the phone interview with the participants. Data were analyzed by the SPSS software version 21. Descriptive statistics, Chi-square, and regression were used for data analysis. Results: Of 170 patients, 130 cases were male, and 70% were under the age of 60 years old. The most common symptom after surgery was leg swelling (40.6%), and the least common complication was a fluttering chest (3.5%). There was a significant relationship between age and chest pain (P = 0.01), smoking and dyspnea (P = 0.032), troubles of sleeping (P = 0.044), and leg swelling (P = 0.035), depression and gender (P < 0.001), BMI and poor appetite (P = 0.042). Conclusions: It is important to consider the symptoms and complications of CABG in these patients. Leg swelling, trouble of sleeping, and fatigue were common symptoms in these patients. It is suggested that appropriate training is provided to patients, particularly smoking cessation.

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Factors associated with return to work after coronary artery bypass grafting (CABG)

European Journal of Preventive Cardiology ◽

10.1093/eurjpc/zwab061.360 ◽

2021 ◽

Vol 28 (Supplement_1) ◽

Author(s):

A Raynaldo

Keyword(s):

Diabetes Mellitus ◽

Logistic Regression ◽

Coronary Artery ◽

Return To Work ◽

Coronary Artery Bypass ◽

Functional Capacity ◽

Artery Bypass ◽

Bypass Graft ◽

Factors Associated ◽

Cabg Patients

Abstract Funding Acknowledgements Type of funding sources: None. Background. Postoperative CABG patients will generally experience improvement in symptoms and functional capacity. Post-CABG patients are expected to be productive again in order to have a positive impact on both patient and the society socio-economically, in addition to other parameters such as morbidity, mortality and serious adverse events. Purpose to determine the factors that associated with return to work in CABG patients in one General Hospital. Methods. We analyzed data from Adam Malik Hospital registry of 68 patients who had undergone CR after coronary artery bypass graft (CABG) in 2017-2020. The outcomes assessed were work status in 6 month after CABG. Patients’ characteristics, sociodemographic, clinical parameters of functional capacity using 6 minutes of walk test (6MWT), T2DM, Hypertension and cholesterol level were assessed. Factors associated with return to work were identified using multivariable logistic regression. Results We identified 68 patients undergoing isolated CABG (2017–2020). One year after discharge for CABG, 40 (58.8%) patients had returned to the workforce. Factors associated with return to work were identified using bivariate logistic regression. Diabetes mellitus (odds ratio, 10.192; 95% confidence interval, 0.063–0.515). Conclusion Almost 2 from 3 patients after CABG returned to work within 6 months. Diabetes mellitus and functional capacity were associated with a lower likelihood of returning to work.

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